Provider Demographics
NPI:1770699217
Name:PRATHER, CAROLE A (ARNP)
Entity type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:A
Last Name:PRATHER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 411851
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-1851
Mailing Address - Country:US
Mailing Address - Phone:913-588-5821
Mailing Address - Fax:913-588-5916
Practice Address - Street 1:UNIVERSITY OF KANSAS MEDICAL CENTER CCHD
Practice Address - Street 2:3901 RAINBOW BLVD., MAIL STOP 4003
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-5900
Practice Address - Fax:913-588-5916
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45230163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management